License Information
License Number
036083856Business Name
STEPHEN G VINCENT MDLicense Type
MEDICAL BOARDOriginal Issue Date
1991-12-20License Status
NOT RENEWEDCity
IDAHO FALLSState
IDCounty
IDAHOPost
83402Update Date
2022-05-03Suffix
MDBusiness
NEffective Date
12/20/1991Expiration Date
07/31/1993Ever Disciplined
NLastModifiedDate
09/20/2006Registered Location
Peripheral Licensees
- JACK O YOUNG IDAHO FALLS, ID 83401
- DEBORAH K SCHAFER IDAHO FALLS, ID 83404
- PAUL MCHUGH IDAHO FALLS, IN 83402
- ALMA S JOHNSTON IDAHO FALLS, ID 83404
- JULIA A MURPHY IDAHO FALLS, ID 83401
- JEAN A SUTTON IDAHO FALLS, ID 83404
- JASON NOEL LANCE MD IDAHO FALLS, ID 83404
- VERA JEAN COOK IDAHO FALLS, ID 83402
- JEAN M HEYDT IDAHO FALLS, ID 83403
- JOHN M TALL IDAHO FALLS, ID 84321